- Practice location
- 601 E. San Antonio Ste 203 W, Victoria, TX 77901
- Phone
- 361-485-1885
- Fax
- 361-578-4486
- Last updated
- October 9, 2013
Michael J Bouthillette is a Family Medicine based in Victoria, TX. Michael J Bouthillette practices in Victoria, TX and has the professional credentials of MD. The NPI Number for Michael J Bouthillette is 1578635835 and holds a License No. F0897 (TX). The current practice location address for Michael J Bouthillette is 601 E. San Antonio Ste 203 W, Victoria, TX 77901 and can be reached out via phone at 361-485-1885 and via fax at 361-578-4486.
Provider Profile Details
- NPI Number
- 1578635835
- Provider Name
- Michael J Bouthillette
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 601 E. San Antonio Ste 203 W, Victoria, TX 77901
- Phone Number
- 361-485-1885
- Fax Number
- 361-578-4486
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 14, 2006
- Last Update Date
- October 9, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 601 E. San Antonio Ste 203 W
Victoria, TX 77901 - City
- Victoria
- State
- Texas
- Zip
- 77901
- Phone Number
- 361-485-1885
- Fax Number
- 361-578-4486
Provider Business Mailing Address Details
- Address
- Po Box 8691
Belfast, ME 04915-8691 - City
- Belfast
- State
- ME
- Zip
- 04915-8691
- Phone Number
- 877-848-1463
- Fax Number
- 615-465-3017
License Information
- License Number
- F0897
- License State
- TX
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Victoria, TX
View all Family Medicine providers in Victoria →Frequently Asked Questions
What is the NPI number of Dr. Michael J Bouthillette, MD?
The NPI number of Dr. Michael J Bouthillette, MD is 1578635835. It was assigned on November 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael J Bouthillette, MD?
Dr. Michael J Bouthillette, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in TX under license number F0897.
Where does Dr. Michael J Bouthillette, MD practice?
The practice location is 601 E. San Antonio Ste 203 W, Victoria, TX 77901. The office can be reached at 361-485-1885 (phone) or 361-578-4486 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578635835 directly on the NPPES registry website.